Kaiser Permanente Insurance

Kaiser Permanente Insurance Reviews

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Kaiser Permanente Insurance Reviews

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    Customer ServiceCoverageStaff

    Reviewed Aug. 29, 2024

    If you need health insurance get it somewhere else. The employees of Kaiser should be ashamed of themselves. But maybe posting this will get their attention? Case manager: Monea R. Earlier this year I was sent a bill for almost $3,000 in medical bills that were ALREADY PAID FOR. It has been three months of grievances and phone calls and a total nightmare... and they still haven't fixed it. I was assigned a case manager named Monea R. and she will not return my phone calls. She can easily prove that I was covered but she has been dragging her feet, failing to respond, failing to make reasonable efforts, and failing to help for almost three months.

    A little more context: out of nowhere they sent me a fresh pile of bills for care dating back to July 2023. They said I was not covered during that time despite the fact that I have premium payment records, tax form records, etc. So they are re-processing all of my bills as if I didn't have coverage even though I did have coverage and I've offered all sorts of proof for that.

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    Staff

    Reviewed Aug. 28, 2024

    Kaiser has to be the worst health care provider in Ca. They don't care about the people they serve. It's all a numbers game and how they can tell you no so they can save the most money. I wish the CEO and CFO had the same care all of its providers get and then just maybe they would start to care. The People running Kaiser should be taken out back.

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    Reviewed Aug. 26, 2024

    I was an employee of Kaiser for 23 years I retired 2 years ago and since then I have had the worst healthcare experiences of my life. Recently I was put on blood thinners which had horrific side effects. Gave me gastritis and migraines. I have never ever been so sick. Cost me $7k between scans, ER visits, UC visits. I told them it was the blood thinners and I needed to get off them but they only referred me back to my Primary who was failed to respond for days. I lost a lot of weight, couldn’t eat in severe pain. They could have cared less. Worst healthcare ever. Steer clear please. They do not care about their patients. I had to diagnose myself and they didn’t listen at all. Takes forever to get a referral to gastroenterology doctor. Please look into others healthcare providers. Do your research.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 24, 2024

    Having Kaiser Insurance have been a bad experience. I was recently diagnosed with a rare disease and prescribed medication by my specialist. Kaiser covers the medication with a prior authorization. It's been a month and I still haven't gotten my medication. Every customer service person gives me a different answer or excuse. Nobody is on the same page. Sad part is because I have kaiser insurance the medication has to go through kaiser which is horrible. I can't wait to switch insurance.

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    Customer Service

    Reviewed Aug. 21, 2024

    I'm honestly done with this health system. I've waited one month for a call back on reinstating my insurance. They said it would take 2 business days for a call. I called again 2 weeks later, said I was in a queue. Called today and they never mentioned I needed to call the marketplace in which I bought the insurance from.... WHY didn't they tell me that in the beginning instead of wasting all this time?!?! I had a doctor's appointment lined up and everything.... I'm beyond upset at this point.

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    Customer ServiceStaff

    Reviewed Aug. 17, 2024

    Kaiser is horrible. First is in 2019 when my son was going through an addiction to ** and went in for an appointment to get help they put him off for 5 days leading to his almost lethal ** overdose. I am happy to say I took him to Temecula Valley hospital where he laid in a coma for 6 days before finally getting the proper medications and care to get him out and survive. Second, in 2020 Kaiser sent me home from urgent care septic and called me 2 days later telling me to go to the hospital. Same thing happened in 2021 from once again an ongoing kidney infection and I went straight to Temecula Valley hospital (I was not going to end up at Kaiser again). Kept me in for 5 days until I was stable enough to go home.

    Now my husband went to Riverside university health care and they wanted to keep him overnight to monitor him and Kaiser made them transfer him at 8 o’clock at night only to tell him he was going to be discharged with pretty severe tests and vitals. I am so disgusted with Kaiser. We can’t get an appointment for over a month out, can’t pick our dr and get denied the proper care when the other hospitals and drs prescribe it. They are not good. They are literally horrible and they almost killed my son and myself.

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    CoverageStaff

    Reviewed Aug. 12, 2024

    This is the worst insurance you can get!! They won’t see you for weeks. They force you to use their crappy doctors who are booked weeks out!! I needed immediate care and had to argue for hours to see someone outside their network that was able to see me sooner than a month. This illness could have killed me. Never ever use them.

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    Installation & SetupStaff

    Reviewed Aug. 12, 2024

    The physicians and staff have been excellent on the whole. But Kaiser does everything to delay any care unless a patient is basically in danger of dying. Just getting an appointment with your primary care doctor takes at least three weeks. If you need a specialist (e.g. dermatology, orthopedic) takes 4 to 6 months. It took me six months to finally get an appointment of knee replacement surgery. I DO NOT recommend Kaiser Permanente.

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    Coverage

    Reviewed Aug. 4, 2024

    I have had 8 appointments with a therapist. Each appointment she asks about my week. She doesn't really ask any questions, it's a vent session with each one ending that "we'll discuss a coping plan next time". I asked for an ADHD and autism evaluation. I was given "ADHD possible" diagnosis and told I couldn't get disability if I was diagnosed with autism. I never once said I didn't want the good job I presently have. During the follow-up visit, I was told that Kaiser doesn't evaluate adults for autism. I don't understand why only children are diagnosed. I finally have insurance and I can't get help.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed July 31, 2024

    Like many other posts on here, I also used to really like Kaiser, and then it’s true that after the pandemic, something changed and now they are operating at an incredibly low quality level all around in almost every location. I dealt with a traumatic experience with Kaiser, where I was not properly diagnosed with a gallbladder infection after having waited in the ER for over nine hours. The ER doctor said that she thought I just had gastritis and said that the CT scans showed there was nothing when in reality they were never done, but I was so sleep deprived that I didn’t think to question or ask about that.

    Despite waiting over nine hours, the visit with the ER doctor lasted a total of 15 minutes and I also felt that sense of being rushed out of there. The doctor even prescribed me something that I had told them didn’t work for me in the past, and when I asked for an alternative, she said that there wasn’t any, when that wasn’t true because I later found out at the sunset Kaiser that there is another alternative medication that I can take. Three days later, I wake up in the middle of the night with the worst pain I’ve ever felt in my entire life in my stomach, and I go to the Ontario Kaiser and they treat me less than human. They assumed I was dealing with gastritis, even though I was screaming at the top of my lungs and crying in pain and on the floor, they simply said I needed to get off the floor and to stop being dramatic because they couldn’t do anything and I would need to wait for 12 hours.

    Luckily my Family members picked me up and took me to Kaiser at Sunset and I was seen there within half an hour and was told that I would need emergency gallbladder Removal surgery. When I shared my story with a Kaiser nurse at the Sunset location, she literally started crying for me because she shared having had a similar experience with her gallbladder also needing to be removed quickly, but that her situation was not as bad as mine.

    In a separate situation with a different department at the Kaiser Sunset psychiatry department, I worked with the psychiatrist who was dismissive and rude towards me. I would mention side effects I was experiencing from the medication that were listed in the paper detailing the list of side effects and he said that couldn’t possibly be related to that medication and did not bother to investigate further, long story short I ended up in the ER because of those side effects and had trouble breathing, and had rashes. Once I stopped taking that medication, he prescribed everything went back to normal, but I was still struggling to manage certain symptoms and finally he said “your brain just isn’t made to take medication and I won’t prescribe you anything.”

    I decided to obtain a second opinion, and the next Kaiser psychiatrist said that there was actually a wide variety of medications I could still try and so she started me with one medication and then did not inform me as to how I could get a hold of her and did not clearly state that she would not be working with me because she was leaving Kaiser, so when I experienced negative side effects from this medication and I had questions I had no one to talk to you or ask. It was incredibly stressful and neglectful, and I was on the phone with Kaiser Customer support for over an hour on two different occasions, and both people said that they didn’t know who that provider was and that they couldn’t find them in the entire system.

    I scheduled a follow up with a different doctor through virtual instant care and that doctor said that she couldn’t do anything and I needed to meet with a psychiatrist. My symptoms were not being managed, and I had to discontinue that medication on my own because it was not helping me and the side effects were unbearable, so since my appointment was another month away, I worked with an outside psychiatrist in the meantime and they prescribed me the right medication that ended up working for me. When I finally went back to Kaiser and I explained to them my symptoms and the medication I was taking the new Kaiser Psychiatrist said that she would fill out my prescription when I ran out and that if I needed to take an extra tablet to manage my symptoms that I could do that, and we would go based off of how my body responded to the medication and adjust the dosage accordingly.

    When I figure out the dosage that worked for me, I realize that the current amount of tablets I had would not last me until the next follow up, so I did as she instructed me and messaged for a refill. When I go to pick up the medication, I find that it’s only enough for 10 days and my follow up with the psychiatrist was going to be two weeks after that so I would be left with no medication for two weeks. When I spoke with the psychiatrist nurse, they scolded me for having taken an extra tablet and said that they couldn’t find anything in the psychiatrist notes stating that I could do that. The nurse approached me with an accusatory tone and lecture about how you need to take the medication as prescribed, I did not appreciate it and I did my best to explain that the psychiatrist and I had agreed that I would take the amount of tablets that I needed to manage my symptoms and that she would refill the prescription based on what I needed.

    In the end, the nurse said that she would follow up with the psychiatrist to double check and so I had to wait for the medication to be approved. In a different situation and department, I recently met with the ear nose, throat, doctor, and he was incredibly unprofessional. He treated me like I was an animal and just shoved some thing up my nose and didn’t explain what he was going to do before hand why he was going to do it. I didn’t know what I needed to do until halfway when he said I wasn’t supposed to breathe in the medication. It was overall very stressful and confusing, but thankfully he was receptive to feedback because I did mention to him that I would appreciate an explanation of what he was going to do before he did it. His response was “oh this is just routine for me and I do this all the time so that’s why I didn’t explain it.”

    I later mispronounced a medical term, and he was incredibly rude about it. He proceeded to share how his wife does the same thing, and then he corrects her, and then she tells him that she doesn’t like the way he talks to her, and in that moment, I could understand why, because he comes off as condescending and judgmental.

    Overall, I agree with most if not all of the comments that have been posted so far about Kaiser. It does take at least 3 to 4 months before you can see your primary care doctor, and when you do get to the appointment, there is usually a long wait time. The last time I saw my primary, I had to wait four months and I got to the appointment 10 minutes before, the meeting time and I ended up waiting 40 minutes before I saw them. At this point, I think all of the Kaiser locations are providing horrible care and service, and I would like to drop them, but at this time, I am unable to switch and don’t really have an alternative. If you have a choice, then I would recommend avoiding Kaiser at all costs.

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    Reviewed July 28, 2024

    Since 2022 or so it is impossible to get help for an illness or urgent matter. Your only option is a $50 visit to the ER. Today is July 28, 2024 and I think the flu I have may be turning into a lung infection. First available appt by phone or in person is Aug 13. I would be dead or near dead by then. It is infuriating since I have had Kaiser for 50 years (since birth) and have NEVER experienced the worst care ever.

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    Customer ServicePunctuality & Speed

    Reviewed July 25, 2024

    I went to urgent care because it was late, Kaiser billed my insurance but even though I have the papers in my hand and have talked to Premera, Kaiser said they didn't hear from them and won't bill 2nd.

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    Customer ServiceStaff

    Reviewed July 21, 2024

    What happened with Kaiser! I’ve been a Kaiser patient for over 15 years and I loved it. BUT things have changed since the pandemic. It takes MONTHS to make an appointment with your regular doctor. It takes DAYS for them to get back on an email. You HAVE TO call customer service so they can send the doctors office a reminder! And when they get back with you they just refer you to the emergency room to get rid of you. Questions and time with your doctor are limited and you need to be in and out fast! You get meds after meds after meds! A one fits all type of solution! You’re not an individual any longer. You’re part of a herd, where everyone is treated with a one fits all type plan. You’re screwed when you don’t do your own research! Yep, Kaiser has become a mass processing facility! Not for me anymore…

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    Installation & SetupPunctuality & SpeedStaff

    Reviewed July 20, 2024

    Their slogan is 'thrive' but in reality you are lucky just to survive with Kaiser. 15 years ago, a great insurance, good docs, clinics, appointments were relatively easy to get. Now, overworked docs, they shuttered their only hospital in this area, appointment with primary 2-3 month out, specialists 3-4 months. Appointments are rushed, you have to scream at them to get anything done, and if you don't advocate for yourself, they are perfectly happy with the 'there is nothing we can do' as you are getting sicker and sicker.

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    Staff

    Reviewed July 19, 2024

    I am writing this not out of a place of anger but rather as placer of caution to anyone considering Kaiser as their primary choice of healthcare. It is not through my unique experience alone but rather through a collective of anecdotes encountered throughout the years that I find myself writing this years after my personal encounter. At Kaiser you will be treated as an equal. No matter your individual healthcare need. The same amount of time and resources will be allotted to you whether you have a routine checkup or a unique serious ailment, and that is a terrifying ideology. For lack of time I will spare personal details but after a particular encounter with a dear one who finds themselves in a less than fortunate situation as a direct result of negligence on behalf of the care in this corporation, I felt compelled to finally write a word of caution.

    If you are amongst the few to be blessed with health, kaiser may be an option for your care but if you encounter the misfortune of needing actual professional help from an experienced and devoted team to challenge your unique circumstance you will not succeed at kaiser. Do yourself or your loved one a favor and seek an alternative option, one that will listen to your concerns and treat you as the unique human being that you are, not like another number walking through the door.

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    Customer Service

    Reviewed July 11, 2024

    I hope Kaiser Medical is better than their admin and billing depts. Way back in Jan 24 I had a procedure done to my eyes. I received only one shot of ** but my EOB showed two and they billed me accordingly. To this date (July 11) it’s still not changed! This isn’t the first time they have screwed up my EOB. Most times they forget to include the shot only to add it to a bill months later. I complained about a mysterious charge a month ago, called and had it removed but last night the money hunters called and wanted that money! There seems to be a mountain of incomptence at Kaiser….buyer beware!

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    Coverage

    Reviewed July 8, 2024

    Kaiser is a horrible insurance if you have any issues. I have type 2 diabetes and so far no medication has helped bring my blood sugar down. The one that my doctor believes will work was denied. This companies doesn't care about you. They pretend that preventive medical treatment is their goal but couldn't care less if you're at risk for major health issue due being tolerant to the less expensive medications. As soon as open enrollment is here I'm dropping them like a rock.

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    Customer ServiceCoverageStaff

    Reviewed July 3, 2024

    KP will not pay for anything without a big fight and they are incredibly dishonest. I met my deductible in January after a $70,000 ER visit. Halfway through May, they changed the amount that I had paid towards my deductible and said I had not met it so they denied payment for later eligible doctor visits. The customer service person said she has no idea why they changed it because I obviously had met the deductible but that most people “don’t keep track”. And still they didn’t correct it. I still am awaiting the appeal from the case manager.

    After the first ER visit, I had to have 3 more ER visits because I could not get an appointment with a KP vascular surgeon. The ER finally told me to get the urgent surgery and not wait for KP and to apply for charity funding. I appealed KP’s denial of payment of the surgery. It will end up being paid by charity funding. To sum it up, they will not pay for treatments without many many hours of proof that they are required to pay it. And they still have not paid for the urgent surgery that they could not provide. I strongly urge anyone not to get this insurance. I have not heard of any good experiences from any other people with this insurance. If you get this, you may get payments for ER visits but nothing else.

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    Price

    Reviewed July 1, 2024

    I've been to the doctor two times this year. One time for flu, and another for when I set up my primary care doctor. I've been getting bills all year. So far I've paid around $465. It's so ridiculous having to keep paying this crap. My copay is 95 and they charge so much for lab (doctor request).

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    Customer Service

    Reviewed June 24, 2024

    I have had nothing but trouble with KP, even with the simplest of tasks. We've been trying to get services for our daughters for over six months that only took a couple of weeks to get from previous providers. We need the same two services for our daughters and they billed one as in-network, and the other as out of network, for the exact same service at the same location. This divided up the deductible so we would have essentially pay the deductible twice and pay way more out of pocket for one daughter (5x as much).

    Even talking to someone at the pharmacy is next to impossible. I called to correct something simple on my prescription and got a message that the wait would be over two hours so I chose the option to have them call me when a rep was available. It called over an hour later, kept me on hold for over thirty minutes then dropped. Everything that I do through KP ends up being a difficult time consuming task needing numerous calls (well over 100 documented for the first issue mentioned so far).

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    Customer ServiceStaff

    Reviewed June 22, 2024

    I have been with Kaiser Permanente since 1994. I have watched what was once an excellent healthcare provider become the worst in the industry. Every doctor is overwhelmed with patients. My primary care physician has over 2,500 patients. Nurses are instructed to prevent any communications from getting to the doctors and to reply to emails with canned replies telling the patient to call the pharmacy, appointment center or other online department. If you try changing primary care physicians you will find that very few doctors are accepting new patients.

    When you search doctors you get Physician Assistants, Nurse Practitioners and Midwives. These people are not doctors but Kaiser is passing them off as such. Most appointments are one to two months out. In short, Kaiser is no longer providing healthcare. They achieved $4.1B in profits in 2023 by cutting patient care plain and simple. When the annual renewal period comes up this next time, I will abandon this company and never look back.

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    Customer ServiceStaff

    Reviewed June 18, 2024

    The staff is kinda rude and not very accurate in dealing with information…. They act like you are bothering them when you try go find something out from them. I bought their insurance and never used it, but now I am canceling it.

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    Reviewed June 18, 2024

    I can't believe Kaiser hasn't been shut down. Its practices are totally illegal and immoral. Towards the last year, I refused to step foot in a facility. I wouldn't be a patient there if I was paid to. The last Dr. I saw was a trauma specialist. I had to go through hoops and deal with so much abuse just to get a referral. When I started to explain what happened to the Dr. he said that I needed to lower my expectations to the ground and basically suggested that I get the heck out of there. He said that I was lucky to be alive!

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    Coverage

    Reviewed June 17, 2024

    My coverage was only in network but in network is too slow and I needed a surgery. I ended up getting surgery somewhere else and paying tens of thousands of dollars out of pocket. I would not use this insurance company. They take too long in network and don't cover anything out of network so you pretty much can't get medical care unless you have 3 or 4 months to wait.

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    Reviewed June 13, 2024

    My initial visit to the Kaiser Permanente emergency room that witnessed the injury in its full form telling me I had a large hematoma was a misdiagnosis delaying proper treatment. See article **. For reference specifically noting that “The trauma surgeon and radiologist must be aware of this condition, as early diagnosis can lead to conservative management, while a delay can lead to surgical exploration”. Proper diagnosis was done after 3 weeks getting an appointment with my primary physician that wrote an emergency referral to see an orthopedic surgeon. Properly diagnosed after the third week causing the “surgical exploration” requiring a evac pump and additional medical assistance!

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    Customer ServiceInstallation & SetupPunctuality & Speed

    Reviewed June 5, 2024

    Kaiser health is getting worse. My biggest problems with them involve very poor communication. Here are some things that have happened to me using Kaiser in the past few months: 1. Kaiser will robocall you with what they say is an important message. They will ask you to call a number - where you will spend 20-30 minutes on hold. The message is usually something silly about medication that might be delayed for a day. 2. They are now sending out prescription drugs that do not have the safety seal on them. I called them and (after being on hold for 20 minutes) they told me the meds are okay without the seal. Real comforting. 3. When you call them, it will say rather than waiting on hold you could have them call you back when someone is available. Then a robot will call you back 30 minutes later and ask you to stay on hold for another 20 minutes.

    4. My dad had an echo-cardiogram scheduled for about 3 months. A day or two before the appointment they cancelled the appointment without any notification. When we showed up - they told us they had cancelled. 5. My dad had a stress test done. The results were abnormal so they called his phone - but we didn't answer on time. It is then impossible to call them back. You have to call their 800 number and there is no way you're going to get to talk to your doctor.

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    Reviewed May 22, 2024

    I have many bad experiences with Kaiser and I have Kaiser insurance for almost 5 years. Doctors don't listen to you. They have an agenda, they just play the book, don't care what your concerns are and to be frank they don't even care about you.

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    Customer ServiceInstallation & Setup

    Reviewed May 21, 2024

    Never ever getting Kaiser nor recommend for anyone. I recently got a policy through WAHealthPlanFinder. They require payment before your plan starts. I paid to start my plan, and after a week I called to make an appointment. They could not give me an appointment and there was a lot of confusion, so I decided to cancel my policy. However since I used WAHealthPlanfinder to cancel, they are unable to help me at all with my policy. They legit have no control over their own plans/policies. I have to go through two companies to receive results. They will not conference call for me to clear up issues. Smh..

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    CoveragePunctuality & SpeedStaffProcess

    Reviewed May 18, 2024

    You can’t get urgent care quickly. They don’t cover any places like Zoomcare and don’t make appointments at their clinic, so you’re always forced to wait hours. They could streamline this process, but they don’t. Terrible. I’ve heard that people really like Kaiser, but I will never get it again.

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    Staff

    Reviewed May 18, 2024

    I generally support health care institutions. I don't feel health care is a right and I believe we all need skin in the game to help keep costs down. Recently KP has really upset me. Without going into details, they denied granting me the option to seek an outside opinion. O.K fine, I changed my insurance and moved on. Then 6 months later I start receiving additional bills for services I thought I had paid in full. O.K my bad, but 6 months! Seems ridiculous. Additionally, I had almost the exact same services done (only more thorough) by my new provider and the total charges were less than half the KP charges. IMO, KP only cares about their bottom line and has lazy and sleazy billing practices. I would never recommend them to friend or family.

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    CoverageStaff

    Reviewed May 18, 2024

    Just went into Kaiser on Ming Ave in Bakersfield Ca for blood pressure test and was told the nurse would be back in 8 minutes, waited 15 and she didn't return. Went looking for her and was told that I wasn't the only patient. I pay an exorbitant amount of money for insurance. And I expect them to keep their word. Time is money. I would not recommend this lousy insurance even it was free.

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    CoverageStaff

    Reviewed May 13, 2024

    Worst insurance ever, I’ve been with Kaiser for a long time, I liked them before but now THEY ARE LITERALLY THE WORST, starting from their records department to all doctors. I am looking for alternatives.

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    Reviewed May 13, 2024

    THANK YOU FOR YOUR PAYMENT...That's what it's all about the payment then good luck getting in for an appointment when you need one. Been trying to get in to Dermatology for over a year for a bleeding facial skin issue with no luck. After finally getting seen by my primary, an appointment was made 2 months in advance then cancelled 3 days prior. Now it's another month of waiting.

    I also rushed my boss to the Fontana ER with breathing issues, could barely speak and couldn't walk and I couldn't get anyone to help and there were no wheelchairs available to even get him in the building! Plus they said it would be several hours before someone could look at him. We had to take him over to the doctor office building, surrender my ID to get a wheel chair, only to have him rushed back over to the Hospital side on a gurney then hospitalized for 2 weeks. Kaiser "used" to be the best in my opinion. I'm so pissed at this organization, but what can you do except wait and hopefully not die in the mean time.

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    Staff

    Reviewed May 11, 2024

    Going to Kaiser is like crossing your finger that you get a doctor that actually care about your life. I been with kaiser for more than 5 years and it's just getting worst, the staff and doctors just want to make a example of patients' life by not caring to do their job just to prove their point to the CEO that they need to get paid more money or this is what happens. Sad but true. Kaiser failed me as a paying patient to care for me.

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    CoverageStaff

    Reviewed May 10, 2024

    They are the worst! They bid all these coverages for cheap with the companies and then save their cost at the expense of the patients. They are here to take care of you, but to use delay, run-around, dismissing your issues, making seeing an specialist hard, hiring cheap physicians, etc. etc....tactics to be profitable. THEY SHOULD BE PUT OUT OF BUSINESS!

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    CoveragePrice

    Reviewed April 30, 2024

    Literally the worst insurance ever. Got charged $450 out of pocket to take a survey. $450 for a standard OBGYN visit. Processes make no sense and intended to price gauge. RUN!!! This place can hardly be called insurance, it’s terrifying, I’m sitting with issues because I can’t afford even a dr visit!!!

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    Customer ServiceInstallation & SetupCoveragePunctuality & SpeedReliability

    Reviewed April 22, 2024

    Worst insurance. All excuses. Can't sync prescriptions so showing up every week for a month every 3 months. Excuses, call center, inability to find solutions. Unreliable mail order prescription delivery. Ridiculous. You can't sync prescriptions. In addition, can't get an appointment to save your life. Referral required for everything.

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    CoverageStaff

    Reviewed April 16, 2024

    Kaiser Permanente the excuse company. They have excuses for everything they always blame. Protocol. What a joke. Do not ever get this insurance. I will be leaving them as soon as I possibly can. I will pay double for any other coverage. These people suck.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed April 10, 2024

    So, went in to Kaiser with sepsis 4 times now. Each time was a different "cure" for my infections, this last time it was an overnight in ER, and two full days in Hotel Kaiser. I was able to urinate when this all started a year ago now. Now, after 3 urologists, a Supra pubic catheter, a catheter in my left kidney, a stent (finally removed a couple weeks ago) in my right ureter, the original problem persists. BUT, where (everything actually worked when this all started), now I've got other problems. They install a tube to my bladder. Wait 3 months. Dilating catheter (finally, after a second opinion), and two days later the original problem is gone. Still have a tube in my left kidney to drain liquid retention (small pocket of liquid). HOW LONG DOES IT TAKE TO DRAIN SOMETHING!?! So a year later, two tubes, two bags, non-stop dripping from my (do-hickey), still being held hostage in my own home, sleeping in an uncomfortable-as-hell chair!

    Write numerous messages to all doctors. No answer. Appointment in Urology in June. Wrote a message asking why. No answer. Video appointment one month from yesterday. No further information or answer. Like I have read on here, they do one thing, do NOT follow up, do NOT answer messages, need to dial a number and if you happen to call the correct number, it's at least 20 minutes to get someone to pick up just to give a vague answer.

    I've ALWAYS had Kaiser, but hardly even needed them. Now that I need them, it takes over a year and all they've done is stick more tubes or something in me, and set an appointment for 3 months later. I'm getting to "dislike" Kaiser VERY MUCH! No wonder people take things into their own hands, borrowing meds from a friend or family member, trying to handle things on their own. I've had to figure out my own remedy after not just one, but two nurses tried to install a "regular" catheter in my (do-hickey) and caused pain due to a stricture that was so severe I couldn't stand, sit, walk, lie down or even hardly move for 5 WEEKS! And after multiple messages to the doctor, still no answer.

    Tried calling, spoke to a nurse, repeated at least 3 times..."Severe pain" to which she replied, "Moderate pain". NOOOO! And, if one nurse can't stick a tube "up there", what is another set of hands going to do? Besides cause more pain?! If it don't fit, DON'T TRY! And I was screaming enough to be heard in the waiting room! Oh wait, one more thing. Even after all that, the doctor tried sticking his camera/scope up there. Wait a minute now! if the catheter doesn't fit, how's a scope going to fit? Sorry, better stop a few minutes ago. I'm beginning to HATE KAISER, and due to this, would NOT recommend. Still awaiting an answer from customer care personnel. It's only been two days.

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    Staff

    Reviewed April 10, 2024

    I have had the worst medical experience in my life with Kaiser. What a shame. I had chronic diarrhea for three months. I saw FOUR Kaiser doctors and my diarrhea persisted. It was as if they did not care. Why do they go into this profession? The 800# is worthless and so is their customer service department. I went to El Salvador on vacation. (I almost did not go because of my diarrhea). I saw a gastroenterologist there and I was been finally cured. SHAME ON KAISER!!!

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    Reviewed April 7, 2024

    I have Kaiser, but I'm not here to do anything other that to plead with them to stop the waste, and respect the planet! Every prescription I get comes with 8- 14 sheets of paper of details regarding the medication. It's simple really. Have an option to opt out of paper. Most people will, because they have the internet. Especially when it's a long standing prescription. Give it on the first fill for liability issues, and skip the rest. Please!

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    Customer Service

    Reviewed April 2, 2024

    The WORST level of care imaginable. Nobody wants to deal with you if you have an issue, ZERO follow up on conditions they diagnose (you have to find out about it on your portal). Basically, if you need any level of care outside of just a regular healthy check up, forget about it. My wife is in excruciating pain and NOBODY (not even her doctors) will follow up, despite the constant phone calls and emails. They are a hospital/patient factory.

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    Customer ServicePunctuality & Speed

    Reviewed March 28, 2024

    The insurance company’s system is too confusing! My profile apparently comes from an address decades ago. But the address to which the insurance card was sent to me is correct. After updating by phone the doctor's office still old address. No one knows the reason either. The query phone number does not provide the correct phone number, and the query needs to be transferred several times to get the result. Waste of time.

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    Customer ServiceInstallation & SetupPricePunctuality & Speed

    Reviewed March 27, 2024

    Every experience I've ever had with Kaiser Permanente has been horrible. Recently I tried to go through my primary care doctor to get an appointment. I Communicated I have Abdominal pain.. They didn't have an appointment for three weeks. I told him it was urgent requested the first available. Still took nearly 2 weeks. Then they scheduled an ultrasound at radiology which is three weeks after that. They told me if it persist or gets worse go to the emergency room.

    I called today complaining about the same abdomen pain, nurse recommended I go directly to emergency room for an ultrasound. Baldwin Park emergency room after a three hour wait still not seen by a DR. After 3 1/2 hours I told him I cannot stay here the entire day. So I left. Now I'm finding out there trying to charge me for the CO-Pay. Trying to resolve this over the phone is a joke... You're lucky to speak to a representative within the hour. Often requires multiple callbacks to achieve what you're trying to process. Sometimes takes days to get a reasonable response. Kaiser insurance is fine if you never get sick. Occasional flu prescription over the phone. God forbid you get seriously ill or have a disease. Kaiser will kill you before they cure you.

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    Staff

    Reviewed March 27, 2024

    If it were possible to leave a zero star rating, I would. Most disgusting, unprofessional, and unethical “practice” of medical attention. In three months, I was lied to, spoken to by a “Dr” in a manner no one should experience. I had to tell the doctors what and when tests and medications should have been ordered as I was scheduled for surgery. Five different times scheduled with the wrong Drs. Not one Dr who works with all the other Drs agree on anything. When I filed formal complaints (with major reasonings) I’m asked if I want mental health help to get me through the trauma their Drs and techs caused! I took my children off KP and will spend my day searching for a new insurance company. I know KP thinks I’m just going to go away, but you are wrong! No one should feel like they are on an episode of Punk'd when seeking medical attention.

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    Customer Service

    Reviewed March 18, 2024

    Had a stent put in my 2 arteries and am very happy about the procedure done. Was recommended cardiac rehabilitation program on january 18th and on march 8th. But have heard nothing, if I call no response.

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    Customer ServiceCoveragePriceStaff

    Reviewed March 8, 2024

    DO NOT GET KAISER PERMANENTE INSURANCE EVER. Absolute worst patient service. Must go through main call center for everything. Some representatives nice & helpful; many others rude & condescending. 3 days ago had bad accident. Immediately went to 3 hospital ERs. 1st the one nearest home 45-minutes away, 2nd Kaiser “Advanced Care” 90- minutes from my home, not a full-fledged ER, a glorified Urgent Care. 3rd a well-respected hospital, affiliated with Kaiser. I was examined & told I require surgery within 5 days.

    Altogether, took 14 hours & 300 miles driving. Luckily, wife was home when accident occurred. Scheduled appointment for today with Kaiser Ortho PA-C, which was canceled this morning, as she called out sick. Must only have one at this location. Next closest Kaiser location to me is 3 hours away, 6-hour round trip. Next available appointment March 26, 20 days after accident. Can’t call any doctor or department directly, must leave messages thru call center reps, who say call will be returned within 72 hours. Injury occurred 3 days ago, 72 hours = 3 more days, 1 day after required surgery date & that’s to speak with someone, not to have an appointment or schedule surgery.

    Found an out-of-Kaiser specialist at top hospital, where Kaiser surgeons operate, who can see me Monday, 3 more days but can’t without Kaiser referral. Called Kaiser again, 5th time today, over total of 7 hours. Requested a referral. Was told they’d send the message but it takes 7 to 10 days for a “Board Review.” A person could have permanent damage or die before being seen & taken care of by Kaiser. Why pay astronomical prices for coverage to get none. I’d be better off having no insurance. I don’t know what to do. I’m scared, angry & worried that I am going to be forever damaged, unable to use my dominant right hand, wrist & arm. Please don’t get Kaiser. If you have Kaiser, cancel & purchase insurance that will actually cover you, especially in emergency situations.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed March 5, 2024

    We have been facing an extremely disappointing experience with Kaiser Permanente. The customer service was abysmal, just stick to routine responses without empathy. The quality of care was subpar, with dismal preventive care services and neglect in the ongoing care of health concerns. It was nearly impossible to get an appointment with my primary care doctor within a reasonable time frame, and my issues were consistently ignored or misdiagnosed. Overall, I felt like the Kaiser staff and doctors were doing me a favor rather than providing medical service for the insurance premiums we pay. Kaiser Permanente seems to prioritize profit over patient care, showing little regard for their obligations to members. Due to these issues, I will be moving out of Kaiser Permanente to a PPO, even if it costs more, for better care from experienced medical professionals.

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    Online & App

    Reviewed Feb. 22, 2024

    Kaiser needs no introduction for its sub-par service and fat shaming policies. They hide behind their "preventative wellness" motto and blame their customers for being sick rather than provide medical treatment. Their App and online services don't work. I've only ever received past-due notices, no bills. When you log on online it says I owe a balance of $0.00 despite having "past due" bills that I'm being penalized for. I've spent hours of my life online trying to sort out the issue to no avail. I honestly think everyone would live longer not dealing with the stress of kaiser and their poor services.

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    Staff

    Reviewed Feb. 20, 2024

    Kaiser wants new members when THEY CAN NOT take care of the members they have. I am having major issues but can’t get into a specialist for 4 months. They told me to go to the ER if I have to. WRONG.

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    Customer ServiceCoveragePricePunctuality & Speed

    Reviewed Feb. 8, 2024

    I regret switching to Kaiser and can't wait to change next year. I am without a prescription because they won't cover it even though it's on their list - I checked before choosing them. Apparently, they need to pre-authorize a medicine that I have been taking for a while. I was told I needed to try other medicines before they would approve it. I have been working with my doctor for years and have tried other medicines. I am currently unable to take this medicine because they won't approve it and just keeping my fingers crossed that the consequences aren't too severe.

    I was also told I need to go to their pharmacy and they won't take the Pfizer savings card, like CVS was happy to do, and it will cost me five times as much. The site said that two Walgreens in the city were affiliated for prescriptions but their rep said I have to go to them. This is the worst experience that I have ever had with an insurance company. You are also required to talk to someone in order to transfer your prescriptions. They were late to both calls so be prepared to wait.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 25, 2024

    I have been a long time member of KAISER here in Sacramento area. I have noticed that it's almost impossible to get any help online or by phone anymore. When I call the Customer Service Dept. with a question about my coverage, the phone response I get is: "no one from this dept. is available now. Try your call later." But no one answers when I call later either. I get the same response when I go online to talk to a real person rep. or even a robot! In my opinion Kaiser's Member Services Dept. is totally dropping the ball when it comes to helping their members with questions they might need answered.

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    Customer ServiceCoverage

    Reviewed Jan. 24, 2024

    I had a total shoulder replacement for severe rheumatoid arthritis at the beginning of 2024. I’m still in the recovery phase . The pain meds they gave me were too strong and I had called tried to get something else. I have placed four urgent messages to email messages and nobody has called me back, now I did file a complaint with Kaiser, and one of the people from the grievance. Also reached out and sent an urgent message. I finally called again and I was able to get hold of a nurse at about 415 and they gave me a prescription for just 18 pain pills if taken as directed, they would be gone in three days.

    I’m not a drug seeker. I just wanna make sure I have adequate pain control especially since I’ll be starting physical therapy in a couple weeks. The sad part is is I am a physician assistant with over 48 years experience and this is the worst postop care I have ever experienced or seen. Need to say I will be leaving Kaiser. Run. Do not get this insurance.

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    Sales & Marketing

    Reviewed Jan. 14, 2024

    Made an appointment, paid my $85 copay, saw the doctor for few seconds, and got a bill a month later for an additional $375, no explanation, talked to the billing department, they could not explain the extra charge, doctor did nothing but chat with me for few seconds..Absolute rip off, con artists, this company is a huge scam. Get out.

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    Price

    Reviewed Jan. 8, 2024

    I cannot make an appointment. When I finally get one I usually wind up seeing allied health. The drug formulary is a joke. If the drug is not at least 25 years old you will never have access to it. I have lost all confidence in this company. Oh by the way.. it’s not cheap.

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    Staff

    Reviewed Jan. 7, 2024

    Called the Kaiser Advice nurse seeking urgent care appointment on a Sunday, 1/7/24. She wanted me to speak with a physician about my symptoms. The female doctor was incredibly unprofessional and curt. As a UC Davis Registered Nurse myself, I would NEVER recommend Kaiser to anyone I loved or cared about. We will certainly be dropping Kaiser come open enrollment. Thanks for absolutely nothing!

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    Customer ServiceCoverageEase of Use

    Reviewed Jan. 6, 2024

    What the hell happened to Kaiser? I have been with them on and off since I was a kid. Up until 2019, I praised them for their ease of use and available services. I had them for minimal use in 2022, with no issues. Yet when restarting my Platinum coverage for $8,734.79 /year on Jan 1, 2024 - attempted to call and schedule an appointment with any available physician within 50 miles and was told there was an 8-week wait for the furthest medical office or 10-week wait for the nearest to me (still 30-mins away).

    I refuse to pay $730 a month, to get a $1460 single doctor's visit. I'll be filing a chargeback with my bank immediately! If they contest, I've already arranged legal to lawyer up. BUYER BEWARE! Do not enroll in any level of Kaiser coverage, because you're better off paying out of pocket for a private practice or Urgent Care to get basic needs me. This is an absolute *S*C*A*M* provider (or lack thereof).

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 11, 2023

    For anyone thinking about getting Kaiser, RUN. For anyone who has Kaiser SWITCH. Kaiser is not a place you want to be if you get sick. They could never make up their mind what my dad's diagnosis was. However, he had a blood clot which they stopped treating leading to organ failure. The nurses were not turning him. They threatened our family with restraining orders to keep us away from the hospital. They made it extremely difficult for people to visit. They weren’t honest about the state of his condition. They never let him rest, they were rude, abrupt and treated him like a pin cushion. They killed his spirit and told him to give up, told my family to give up.

    The rapid speed at which he declined was one of the scariest things I had ever seen in my life. My father died from septic shock due to gross negligence, poor treatment and lack of cleanliness of the hospital. We would come in and creams or ointments they were using were left out and open, he had a huge bed sore they lied about. They intubated him for too long and admitted they had no one to excavate him. There’s so much more but I can’t address it here. Stay away from this slaughterhouse of a hospital, not worth wasting your money on insurance to in the end not have a doctor be able to treat you and be ignored by staff. When we tried to take him out of network they denied multiple times. My dad was young and we are still in shock and angry. He’s very loved and will be missed.

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    Customer ServiceStaff

    Reviewed Nov. 14, 2023

    Fortunately I'm not even a member. I was offered their health plan by my employer. I was trying to make an informed decision and I contacted them many times and I could never get a proper answer. At this point I will not be choosing this company and I feel bad for the people that have Kaiser Permanente as their only option.

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    Customer Service

    Reviewed Nov. 2, 2023

    It's not that I don’t ever get sick. The reason I don’t like going to the hospital is that all they do is give you pills pills pills everything and now it’s hard getting an appointment in person they want to do video calls when I really get sick. I rather go to Tijuana and pay cash instead of this Kaiser people.

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    Installation & SetupPunctuality & SpeedStaff

    Reviewed Oct. 30, 2023

    My 82-year-old father was having some coughing and breathing difficulties. It took him forever to get an appointment, which wound up being on a Monday. It was not with his regular doctor. This guy did a subpar job examining him and told him that he took an x-ray and his lungs were clear. 3 days later, his regular doctor gave him a phone appointment and told him he could hear through the phone that my dad was having trouble and he needed to get some antibiotics. My dad went and got them and took them for 2 days. On Friday, he was admitted to the hospital. On Saturday, he died. His life was over in a matter of days and I blame the doctor who lied about taking an x-ray. Or maybe he's that incompetent that he doesn't know how to read them. Either way, my father is dead now and it's all because of Kaiser.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 18, 2023

    Subpar insurance with substandard care. Very disappointed/unsatisfied with KP, especially since we pay over $1,000 per month for insurance. Most of the administrators, caregivers, and medical personnel are either unqualified, inept, or just stretched so thin that they don't really even care. Many, many things fall thru the cracks at KP and most of the time the left hand does not even know what the right hand is doing. The majority of the caregivers we have seen (be it at TownPark, GlenLake, Sandy Springs, Cumberland, or Holly Springs locations) are simply going thru the motions and are not genuinely concerned about quality patient care in the least. Sadly, our entire Healthcare system in this country has gone to the dogs.

    Yesterday, I waited over 1 hour in a waiting area before I was called back for appt. I arrived in building at 3:20 pm for my 3:30 appt. I had to wait in a short line with 1-2 people in front of me to check in. I checked it at 3:28pm according to my check-in receipt. I paid a co-pay and proceeded to go & sit down. Sat in waiting room for 45 mins before I got up and asked the check-in attendent, had the dermatology dept had an emergency or why were they running so late? She said "No, they were not running behind." I proceeded to tell her I'd been waiting nearly 45 mins and still have not been called.

    She phoned back to dermatology.. Apparently, they had canceled my appt and considered me a "no show." She apologized and instructed me to sit back down in waiting room and they would eventually see me. I was the only person left in the waiting room at this point. Personnel was closing and locking up doors, etc. Nonetheless, someone finally called me back about 15-18 mins later. I was seen, even tho it appeared as tho the office was closed, no one was around, etc. For over a year now, we've been very disappointed in the service, lack of quality care, the exorbitant costs, the inept caregivers with KP, and this incident was pretty much my last straw. I plan to be dropping KP very soon, during the open enrollment period next month.

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    Customer Service

    Reviewed Oct. 18, 2023

    Kaiser is the worst insurance/health care I have ever received. As a woman with an urgent health issue (cervical surgery); they completely forgot about my appointment and have not called me back despite my multiple attempts at calling and leaving voicemails to be seen by someone. I have had to SEEK CARE OUTSIDE my Kaiser HMO and pay OUT OF POCKET because the healthcare has dropped the ball so hard and no other clinics accept Kaiser.

    I am going to sue so hard for the out of pocket expenses I have had to pay despite paying nearly a THOUSAND dollars for their insurance PER MONTH as an individual. When receiving a critical injury that could have ended up in losing an appendage, Kaiser had no availability in their ER and SENT ME AWAY. Again, I had to seek care outside my HMO and pay out of pocket for yet another treatment and prescription. To this day, I have yet to be seen by a Kaiser provider. Disappointment is an understatement. Legal action will be taken.

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    Reviewed Oct. 14, 2023

    Ok, I know Kaiser isn’t perfect and they have issues but I moved out of CA to a state that doesn’t have KP and it SUCKS. I miss Kaiser so much. Having that all in one healthcare was amazing especially compared to the crap I’m dealing with now. I actually had a medication denied by my current insurance and that never happened when I had Kaiser. One thing I will say though, you have to be the squeaky wheel and advocate for yourself at Kaiser. I used the website a lot to message my doctors which was great because then I didn’t have to go in. I miss how easy it was to contact them, make appointments and get rx refills. Maybe someday they’ll make it to my new state.

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    CoverageOnline & App

    Reviewed Oct. 10, 2023

    I just subscribed and am counting the days until open enrollment when I can leave Kaiser. Their website is useless. The services are limited despite the plan being a PPO. It has taken me several hours to figure out COVID/Flu vaccines are only covered by their pharmacies in my area. If I weren’t paying so much in premiums I’d just go to Walmart and pay for the vaccines myself. Super frustrating. Never again.

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    Customer ServiceInstallation & SetupCoveragePunctuality & SpeedStaff

    Reviewed Oct. 6, 2023

    From the beginning it was disappointment! Before subscribing I was guided by a agent of my county that explained several options for Medicare coverage. I ended up selecting the advertised 5 STAR Kaiser Permanente Program. The first thing I did was try to arrange knee injections. These were noted in the literature as a covered service. The Dr I spoke with denied they (KP) did knee injection. I told him it's advertised in their brochure. He just denied it. Ultimately I got a referral to Johns Hopkins that performed the injections and billed KP. This happened twice before KP called and said they'd do the injection from now on "Just for me!".

    During this time I had my first appointment for my Primary Care Physician. I got to the office twenty minutes early. In line to check in I read a sign to have your KP card ready. Well, I didn't have mine. So I had twenty minutes to get it and I lived close. I was eight minutes late and I explained why. Receptionist said I could have showed something else. But then proceeded to delay my appointment for one hour and forty five minutes, to punish me! When the nurse arrived to escort me to a examination room the receptionist kept locking and unlocking the door and laughing at her antics. When I asked this same nurse why the receptionist delayed me so, she responded by scolding me for being late! The Dr also did nothing, just listened to me without response like a machine.

    I've never been back. There have been all sorts of communications and misprints that take place regularly but the coud'gras was in October 2022. I had fallen running in my yard and tore my a/c joint apart and the coracoids. I finally saw a surgeon after a month. Surgery occurred 4.5 months later! When asked what technique he would use he stated "...There's gotta be 1600 ways to reconstruct the clavicle and tendons, and I won't know till I get in there!" Then I waited and waited and waited for surgery. Four and a half months passed before I got to be repaired. I had to go to a hospital 54 miles from my home to be operated on! I ended up utilizing a benefit to taxi to and from on the day of surgery. I did everything the doctor told me to do. No weight in my hand more "than a cup of coffee!". I complied.

    When I started physical therapy I again followed instruction and did my "homework" as best I could but it was quite intensive and sometimes I couldn't do all of the stretches. PT went on for a month and a half and I was proceeding well with range of motion being restored quickly. A new stretch was introduced, reaching across to touch my opposite shoulder to stretch scapula muscles. This was painful but so was everything else. I just followed instruction and did what I could. After about a week I complained of specific discomfort with this exercise. I reported escalating discomfort at the next two PT appointments. That weekend the operation let go. My clavicle rose out of its compartment, pointing almost straight up.

    When I saw the surgeon he finally ordered an MRI for the first time. He never went over it with me! He tried to say it's still OK. I refuted his estimation of repair. He suggested another surgeon thirty miles in the other direction which I did see for a second opinion. He went over the MRI with me and that's when I discovered my surgeon had only wrapped a cadaver tendon around the clavicle and sutured in place. From my research on this repair it was a technique from the seventies, that failed most of the time. In addition, the MRI indicated several other injuries from the fall that were never considered because he would never look at the emergency room films or order anything but x-rays- useless!

    So the second opinion Dr agreed to perform corrective surgery to fix what the first person had screwed up. He estimated two months to get to it, and I hesitantly agreed. No one called me to schedule for at least a month and a half. When she said November 8th I explained the doctor had said within two months. She replied "Well if he said two months then he's gonna have to come up with a date." She said she'd call back but never did. I asked for the doctor's help in getting a date but in all my communications with the second doctor's office he never responded. Only an assistant verified they'd gotten the message and she would inform the doctor. He never helped.

    I finally searched my phone of the scheduling person's number and called. I finally got her and she scheduled the surgery November 13th! In addition the surgery this time will be in Silver Spring, Md, 46 miles away. I look forward to being repaired and I'm pretty sure this surgeon will do a good job. I'm nervous though, KP employees are going on strike across the country and this may again negatively impact my repairs. So the moral to the story is KP has lost their edge, with their patience, their employees, but posted 3.13 billion dollar net income before the third quarter. Much better care anywhere else!

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    Reviewed Oct. 5, 2023

    I have been with Kaiser for several years until now. Once my Doctor Who I had from the beginning left in June 2021 all I had was problems with the doctors that I selected the majority of have a little experience in the medical field and have from countries you have never heard of. The quality of care is terrible. The doctors appear not to care about their patients, and do as less as possible, during examinations, especially annual physicals. Don’t waste your money and jeopardize your health with this company. You will regret it!!

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    Customer ServiceInstallation & SetupStaff

    Reviewed Sept. 19, 2023

    I am writing about the most unacceptable encounter with Kaiser I have had in over 25 years. My PCP put in an order for an MRI of my pelvis. I had to wait over a month for an appointment which I went to on September 14, 2023. Prior to the appointment I got numerous text messages and KP.org messages reminding me and confirming my appointment.

    I waited 1 ½ hours to be serviced. I remained patient because I saw the radiology waiting area was very full. Finally, a radiology staffer asked me if we could talk in another area. He then told me they could not perform the procedure because “the order the doctor put in is not correct for the findings they were examining.” He stated the MRI had to be conducted another way that required an intestinal cleansing. He also said they would have to reschedule me for the special MRI and that someone would call me to reschedule and provide prep instructions.

    Am I to understand that the order was not looked at or reviewed prior to my arrival?? Apparently not looked at until it was my turn to be serviced, in the moment, to receive service. I want the proper procedure performed on me, but my outrage is the timing of looking at the order, especially since I received numerous reminders and confirmations from Kaiser prior to the appointment. There have been several instances where the services were not on par. However, I accept that Kaiser will have emergencies, unforeseens and errors which are a human factor. But this occurrence was not an unforeseen, emergency or error.

    It was unprofessionalism, inconsiderate and incompetent. Is it your practice to review the order prior to the appointment or do you just see members “on the fly?” A phone call prior to the appointment about the mix-up would have been acceptable. I changed another appointment and drove from Washington, DC to make this appointment at the Largo office. Otherwise I may not have been seen for months. Also, please note that I paid my $100 co-pay upon arrival and I was not seen.

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    Reviewed Sept. 12, 2023

    I'd like to know why Kaiser Permanente is ALWAYS LAST to get the flu vaccine every year? They are always LAST to get anything like RSV vaccine and Covid-19 vaccine. I am EXTREMELY UNHAPPY WITH KAISER P. Also therapies that MayoCclinic say is beneficial Kaiser does NOT allow, saying it does not work when Mayo Clinic says the practice is a good option.

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    Customer ServiceCoverageOnline & AppStaff

    Reviewed Sept. 8, 2023

    If I could give zero stars I would, without a second thought. I vaguely remember being told that Kaiser was the worst health insurance before signing up, but I figured "how bad could it really be". I'm a young healthy adult with no pre-existing medical conditions. All I needed was insurance for my regular health check-ins and my prescription medication refills. So I signed up for the Bronze deductible plan because it seemed to include everything I needed. After waiting a couple weeks I received an email that my account was active and I could now sign up for a PCP and get my medical records transferred over. After choosing a PCP, I noticed that the earliest available appointment I could schedule was two weeks away and it was a virtual appointment. Okay I thought, "maybe my PCP has a busy schedule these next couple of weeks, but I have prescriptions I need refilled".

    After 3 hours of waiting on hold while being transferred from one customer service rep to the next, I decided to try the chat box function and speak with a nurse. After re-explaining that I needed my prescriptions refilled and I could not wait for my appointment with my PCP 2 weeks away, the nurse/doctor scheduled me for an in-person visit the following day. During the visit I was persuaded to get a tetanus shot I didn't need and was told I would need to get a urine test to receive a refill on my "controlled substance". A urine test?! I've been taking this medication for the last 3 years and nobody ever requested a drug test to receive the prescription. Plus, nowhere on Kaiser's website is it listed that "a urine sample is required for all controlled substances". Weird I thought, but if it's only once a year and it's included in my plan (without a copay), it's not that big a deal.

    I'll just wait one more day until the lab results are received and my doctor can refill my meds. Unsurprisingly I come to find that the urine test is NOT included in my plan and there is a $120 copay. For something I have never been, nor should be required to take as a pre-req for getting my prescription medication. So I ended up spending around 15 hours being "transferred" from one customer service rep to another and getting straight up lied to; "the supervisor will call back before the end of the day", **. Each person I spoke to (service reps, doctors, management, billing etc) had something to say that contradicted the previous person. It was full of mayhem. Don't ever listen to anyone who says the "law is XYZ", without providing documentation that backs up their statements. The law is NOT that every healthcare provider MUST administer a urine test before refilling prescriptions for controlled substances.

    The law clearly states that it is at the discretion of the provider meaning it's not illegal for Kaiser to request that from patients before refilling their prescription request. I'm sure you know where I'm going with this. Kaiser Permanente's insurance is a massive, ingeniously designed, SCAM. The fact that companies like Kaiser still exist and don't have a plethora of lawsuits against them speaks volumes as to why the US has one of the worst healthcare systems in the world (or sorry, compared to other Western countries of equivalent GDP per capita). AVOID AT ALL COSTS! (Do not pass go, do not PAY $200).

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    Punctuality & SpeedStaff

    Reviewed Aug. 8, 2023

    The years we were with Kaiser Permanente were awful. My husband had a testicle removed because of nerve damage, and his testosterone levels plummeted over the years. When we tried to get him in to see endocrinology, they made him do a blood test, and because his numbers were at the very lowest number of their 'normal' range, they took one look at his weight and refused to even see--let alone treat--him. Both his knees after years in the fire department and several seasons jousting were bone on bone and he was having extreme pain and difficulty walking. They took one look at his weight and refused to treat him, stating he could have a somewhat more difficult time in recovery.

    So instead, they did NOTHING, leaving him that way for four years. Now that we have a different insurance company, he's recovering EASILY for his first of two knee replacements (they were astonished he'd been bone on bone so long) and the urologist very quickly prescribed testosterone for his VERY LOW levels, again, astonished that Kaiser had left him that way. All Kaiser will do is take your money and neglect your health.

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    PriceStaff

    Reviewed July 25, 2023

    If I could give zero star I would do that. This place is like a robbing the patient's money. They charged me for Flu vaccine!! I went for annual dr visit here and the Dr ** ask me questions. They charge me for each and any of the question that she asked. It is like stealing money. My wife is working in medicine and we know how these scammers work. Do not even go here. They charge for everything!! SCAM!

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    Customer ServiceInstallation & SetupPunctuality & Speed

    Reviewed July 10, 2023

    Kaiser is unresponsive and lacks actual care/integrity. Trust me when I say, look elsewhere. You will regret choosing Kaiser. They have let me walk on a broken foot bone for 7 days as of today. They have not so much as called me back, they even cancelled my appointment and did not bother to reschedule it.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed July 10, 2023

    Made 3 calls trying to get a Dr. Appt. for a bump and pain on my side (like hernia). Finally got a phone Dr. appt. 10 days out. Appointment was scheduled for 8:40 a.m....An hour later and no call. This isn't new. KP routinely puts you "through the hoops" when you try and get care. I will be changing health providers at my annual renewal. They really don't care about the health of their clients.

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    Customer ServiceStaff

    Reviewed July 5, 2023

    I’ve been with Kaiser Permenante since 2017 never have I thought about leaving Kaiser Permenante until now. I saw Dr. O…,DO in Urgent Care Southwood for neck pain x 1 week 5/20/2023. I explained to Dr. O… I was in constant pain in my neck area x 1 week. The doctor felt the need to order a drug Screen (did not inform me). My belief is when doctors hear pain they believe immediately that patients are drug seekers and some are. That’s why you should always take the time to read the patient’s chart. I wonder if they read the patient’s history before they make up in their mind that patients are drug seekers. Yes the word called pain makes some physicians feel that before getting to know a patient they automatically feel patients are drug seekers.

    Nowhere is there an indication that I am nor had I ever been one in my past. I’ve had Lupus, liver and lung sarcoidosis since 2013. I’ve had osteoarthritis and DDD for a few years as well as other autoimmune disorders. That’s why I say again it’s good to read the patients history before you pass judgment. I Saw Dr. L…,5/23/2023 due to neck pain. I informed her that I had a chest x-ray and it was discovered that I had DDD and osteoarthritis. She ordered a MRI of my neck. I called radiology and they informed me that the next available was 7/17/2023. I thought to myself but I’m in pain. 5/25/2023 and 6/4/2023 I left 2 messages for Dr. L…, saying that I’m still having severe pain and could she possibly put a stat on the MRI so I wouldn’t have to wait until 07/19. Her nurse M…M, NP responded by medical portal on 5/25 and 6/7. I was very displeased with her messages.

    Dr. L…., decided to call 7/3/2023 after I left the first two messages in May and early June in the medical portal. And had been to urgent care several times. I think at times people forget you are human and yes feel pain at times. I don’t have to take steroids or pain medication if I don’t want to. I worked in the medical field for several years with different specialties. I had the pleasure of working for an excellent surgeon. I saw what pain meds can do to people. It can cause severe constipation and I already have IBS. While steroids treats inflammation it also have other serious side effects. So why would I want to take either one. I had so many steroids in my system that I became pre diabetic. But did any doctor read that in my chart before prejudging me.

    I remember I was constantly told you should always smile when talking to people over the phone. I clearly knew Dr. L…, wasn’t smiling while she was speaking to me. She started asking me where was my pain. I'm thinking to myself she should have been more concerned to hear I’m still having pain. And the fact that I’m still having pain whether it's constant pain in my neck or upper back who cares: I’ve been suffering with this pain for over a month (I thought she could have acted like she cared). She basically said without saying she would not order a stat MRI. She also told me not to go back to the ER.

    I assumed because I refused to take opioids or steroids. Sometimes it’s not what you say but how you say it. I thought she was rude and unprofessional the way she spoke to me over the phone. After being with Kaiser almost 6 years come September I’m really considering leaving Kaiser. I just don’t understand while some of their doctors are excellent (my doctors that are treating me now are the best). Others act like they don’t care.

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    Reviewed July 4, 2023

    I have had Kaiser for eight years now and I always gave them high marks, but I am now really sick for the very first time and no one here could care less. My doctor doesn’t seem the least bit interested in diagnosing and treating my condition and other departments that provide specialized services have long wait times and are completely unsympathetic in getting me the testing and treatment that I need. I will be changing to another provider next year.

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    Customer ServicePriceOnline & AppStaff

    Reviewed June 28, 2023

    Kaiser used to be incredible many years ago. But they take Medicaid now which is great for many people. But now you won’t ever get seen right away. It’s incredibly busy due to that. Meaning long lines to see a good doctor, long lines to get medicine, long waits to talk with someone about your issues. Examples, 6-8 month to get a mammogram. 1-2 months to see a specialist and another month to see your primary doctor.

    I guess waits can be anywhere. So I just usually see whoever is available. Which is not always a good idea. I had to find the right doctor who listened. But she takes over a month to see her. I email her, takes 3 days or longer to hear back, and she has her team call. But never leaves me a message. Even though I signed forms to leave a message.

    Kaiser doctors are really nice. But I don’t think I get the best care either. Some are just not very knowledgeable at all. So if you come to Kaiser, I suggest to fight for your care! It’s your body and health. At times they gave me medications that were not good. Muscle relaxers, and then said I had a UTI. When I just had other minor issue. I did not have an uti either. Always get a 2nd opinion here. Always research and don’t believe everything they say.

    The pros are that, it is nice to email your doctor, see your tests and medical record on their app. You also can set up an appointment. So I like that. You can go to any Kaiser and find any doctor if you wanted to travel further too. But I would not recommend it. I used to love Kaiser. But over the years, quality keeps going down. My other irritation with Kaiser is how they really push back on giving you a referral for a specialist. Which can be frustrating. I get they are limited staff. So they have to have some boundaries. But if I was sent to a specialist sooner, a lot of issues could have been avoided too.

    I had this lingering issue. So I kept going back to urgent care, then to ER then more waiting. Then back to several doctors, more emailing. More waiting. Finally I demanded to see a specialist. I had to fight for my health. That’s what I suggest anyway if you go here, fight for your care and always research and get 2nd opinions. I researched my own care, find what worked for me. Because a lot of their doctors just don’t know. Just a lot of back and forth, and tons of waiting. If you go to urgent care you get seen right away, but it’s more costly too.

    I’m glad I don’t have a serious/minor issue. Something minor but can turn into a bigger issue, like my blood work. It’s nice they email it, but no one explains it. And won’t tell you if something is off. I had to research my own care and tell them myself that my numbers were off. Because I would have to wait and wait for an answer. It seems like something is always lacking in quality here. Which is so sad. Because a lot of the patients here are elderly. So don’t get sick! That’s how it feels anyway. Just kinda irritating. But like I said the doctors are nice. I think with the amount of people they see, they might be on burn out too. And maybe that’s why I feel like it’s lower quality too.

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    Customer ServiceStaff

    Reviewed June 3, 2023

    They are horrible and only continue to get worse. Been with them for 25 yrs and all I can say is they are absolutely horrible anymore. After hurting my back they have made me wait 3 mths to get any therapy to start getting better and make me fight for medication. You use to be able to talk with an advice nurse but now their admin staff decides if you get to actually have medical advice. If you don’t disclose your medical information to these admin people then they just tell you you’ll get a call back. That may take up to a week or more anymore if you are lucky. If you actually want to see your primary doctor it will take at least a month or two for that so they always push you to the premium like urgent care and the ER where your bill becomes huge.

    They are an absolute joke and can give a rip about their patients. It so scary after being prescribed medication wrong you need to know about how they are mistreating you and call them on it. All they want to do is prescribe medication regardless if that’s what you need. They never read your charts and always want you to go over everything that is documented In Their charts. Don’t believe their markets because after 25yrs of being with them that when I see their commercials I laugh because it’s so far from the truth it’s comical. They are horrible and you will always fight for the care you pay so much money for!!!!

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    Customer Service

    Reviewed May 31, 2023

    Since laying off over 3000 doctors and nurses for (rightfully) refusing the COVID vaccine, the quality of care and the ability to get appointments in a reasonable timeframe have taken a steep nosedive. Currently, I cannot make an appointment to see my primary doctor under any future timeframe. The automated phone system one has to wade through for the any type of communication will drive a normal person crazy. Call backs to specialty departments are required to use the generic main line and at least 20 minutes of selections and repeatedly submitting the same information. This is my last year with Kaiser. They are not what they used to be.

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    Customer ServiceCoverage

    Reviewed April 14, 2023

    Kaiser claims to cover, (providing endless letters and phone calls to remind customers to do) three preventative cancer screening tests. They do not disclose that they only partially cover these services. When a breast cancer image does not clearly show the breast tissue, additional images are taken during the visit to make a clear diagnosis and to reduce unnecessary return visits for clarity- not an unusual event according to my unscientific research of all females around me. Kaiser states they only cover 1 mammogram per year. This additional imaging is considered "extra yearly mammograms" and the customer is required to pay. I am required to pay.

    Unless one falls under specific medical diagnosis (and this narrows the crowd significantly), complete anesthesia is not covered for Colonoscopy screenings. Has anyone ever had a colonoscopy and wanted to be aware of the procedure? They state they will cover a sedative that numbs feeling but you are awake, possibly slightly groggy in the best of circumstances. If there is too much discomfort the procedure cannot be completed. Have not gone through the procedure to attempt a cervical cancer screening - I can't even start to review what could they possibly not cover for that.

    Preventative services are done for early detection and need to be done completely to make an accurate diagnosis. During procedures Kaiser has told me it is my responsibility to ask at every action "does Kaiser cover this?" How would the person doing screening possibly know the answer to this - only accounting with the codes can truly answer. There needs to be governance over this type of selective billing. A procedure needs to be covered to the point of making the accurate diagnosis. This screening reduces their costs, why are they penny pinching for this, WHY ARE THEY ALLOWED TO PENNY PINCH FOR THIS?

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    Staff

    Reviewed March 28, 2023

    Kaiser has refused to pay for my son's out of network therapy sessions. Kaiser was and is still unable to provide the necessary help for my son's mental state. He needs long term help and therapy. I am very disappointed with Kaiser's plans. Kaiser needs to realize that mental health is serious, and that teens and young adults are dying due to the lack of service Kaiser provides. Kaiser's once a month therapy sessions are not enough. Kaiser's short term inpatient services are without a doubt not helpful.

    Please pay more attention to mental health, especially in teens and young adults. Stop sponsoring many events, and start helping our teens/young adults with therapy and long term mental health. If kaiser cannot provide this help, please pay for out of network help. We have an individual plan, and pay an arm and a leg every month. Other insurance companies know how serious mental health is, and are willing to pay for the services. My family and I are seriously contemplating switching to another insurance company.

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    Customer Service

    Reviewed March 28, 2023

    Kaiser NW claims to have acupuncture, chiropractic and naturopathy in their Medicare Advantage plans. However there is no communication between the CHP group (where these services are funneled through) and Kaiser. I pay my premiums and even get text and email notifications about this great benefit. However CHP shows I don’t have Kaiser insurance. And, Kaiser does not respond to requests for verification. It’s March 27th. So far 3 months. It seems that KP wants you to sign up for their plan. And, not live up to their promise. I call that fraud. What else do they do this with?

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    Installation & SetupPunctuality & SpeedStaff

    Reviewed March 27, 2023

    Kaiser Fontana: My 4 year old son was refused service for not having a mask on. My child has battled with anything obstructing his face or head because he had to wear a cranial helmet for a long time as an infant. Kaiser refused to see him even though 20% of people at the hospital were not wearing masks. Not including Kaiser staff either wearing it inappropriately or lowering it below their chin to speak to me. I took off of work to schedule this appointment, only to be refused service. When I spoke to a manager, they advised me that if I cared enough to have him seen, I’d force a mask on him. And don’t let me get started on their ** ER. You have to be metal detected to gain entry and the area itself is extremely unsanitary. Save your money! They’re trash since they’ve begun to accept HMO.

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    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed March 19, 2023

    I have had Blue Shield, Aetna, and now Kaiser. Kaiser is so bad, that I found another job to get better insurance coverage. They lied to me about how to get routine care, and then charged me for their lies. If you might ever need a mammogram, a flu shot or basic care, don't expect it from Kaiser. When I finally found a way to submit a complaint, the person I talked to wasn't the person reviewing it and the person reviewing it only responded to a small portion of the story and never talked to me directly. They never asked me any questions, they just made a decision based on a small portion of what I was saying.

    Originally, They told me I needed one of their providers to refer me for a mammogram and that if I made an appointment, and got that referral, then they would partially cover my mammogram. So upon the advice of the person at customer service, I made that appointment. The person I made an appointment with said they would make the referral but, I never got the referral and they charged me for an appointment to get a referral (there was no exam, just a request for a referral.).

    When I finally found a well-hidden way to submit a claim, they said I could just self-refer and pay for my mammogram myself. So, 1) they lied to me and 2), if I am paying for it myself, what is the point of Kaiser? I was so frustrated that I found a job this better insurance because thanks to Kaiser I've gone 2 years without a mammogram when I am at risk and supposed to get one every 6 months. This entire situation has been going in circles for way too long. If you just want health, care, or healthcare, get as far as possible from these people who will deny you that while trying to extract office visit payment for doing absolutely the opposite of what they said they would do.

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    Customer ServiceStaff

    Reviewed March 15, 2023

    I have acid reflux, my throat sore, ears hurt and they tell me it's nothing they can give. You tell me what kind of doctors are they. It's really sad how Kaiser treat people. All I can say is hurry up November, I be so glad get rid of ** ins. I would like to give them no stars. They always say they call you back 24 to 48 hours, that's a lie. When you go back in the room waiting for the doctor you're in there for at least half hour. It's ridiculous.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 28, 2023

    I feel ignored, doctors not reading or interpreting test results. A long wait for a specialist. 1 month to see a neuro then another month for MRI. I am sick NOW! I have been bed ridden for 3 months with no care or concern from Kaiser. A month wait to see a cardio while I suffer from chest pain, difficulty breathing, light-headedness. No timely response from care team. The only provider in the county for Medicare supplement but where is the timely care as stated on their mission statement. I have asked for out of network referral to a cardio who can see me sooner but no response. At this point even sitting up in bed has become difficult. Please protect yourself or any elderly loved ones from Kaiser. In all my years I have never been treated in this manner.

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    CoveragePrice

    Reviewed Feb. 9, 2023

    Kaiser is horrible. They charge a ridiculous amount to the patient when receiving doctor recommended tests and procedures, including cancer screenings. Cancer is one of the number one reasons people even have insurance and preventative medicine should always be covered not charged to the patient for thousands of dollars on top of your monthly health coverage. Their business model is to make money off of people, not to help people.

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    CoverageStaff

    Reviewed Jan. 25, 2023

    I HIGHLY discourage you from Kaiser. The care was always below par, but after Covid, I noticed it went even further down in quality. Medical standards that they follow are the absolute minimum they can get away with. For example, I requested to have a mammogram since I am in my 40s. They told me that "THEY changed the guidelines. You don't qualify for one anymore." Okay. Odd. I then switched to Premera Blue Cross, and requested the same test. They ordered the test for me, and told me that the guidelines have NOT changed within the American Gynocology Organizations but with a Medical Insurance provider. So it's a money issue, and Kaiser decides to follow the Insurance guidelines rather than the Medical Field guidelines. That's a red flag.

    I mentioned to my dr that I felt like I needed to drop a few pounds after Covid lockdowns. She looked at me and said "You look fine." I asked for a referral for mental healthcare. They provided me with a code, but they didn't pay any amount for coverage. OVERALL, terrible care. I hate to say that because I'm sure the people who work there care about their patients to some extent. But I am beginning to think that Kaiser hires the lower half of the graduating classes of Medical School... it's also no shock that they (locally) bought out another healthcare facility that was renowned for horrific care (Group Health) and was nicknamed Group Death.

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    Customer ServiceStaff

    Reviewed Jan. 22, 2023

    I called them twice. They hung up on me twice while I was asking them nicely about an issue. I haven’t experienced these in any other insurance before! Why would you be called customer service if you guys don’t wanna talk? If you guys don’t wanna do your job then don’t answer calls and just hang up. That is rude. I would understand if a caller/customer is yelling at you for you guys to hang up. Be nice!

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    Customer ServiceStaff

    Reviewed Jan. 20, 2023

    Kaiser Sacramento doctors and staff are terrible, they do not care about patients as actual people, we're treated as a number to receive inadequate "health care" from a corporate service. The doctors are sub-par and most are so young they lack real experience. The staff are rude and treat patients with disrespect. Patients cannot get appointments, responses to messages, all doctors are full so we can't switch to a different doctor. Test results are incorrect and it takes enormous convincing just to get any answers and further testing. Kaiser is a corporate system not at all in service to patients. Kaiser employees, especially the doctors, should be ashamed of the poor quality "health care" they provide.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Jan. 13, 2023

    By far the worst health insurance and care provider I have ever had. I've had so many bad experiences with them, so I’ll just provide the top 6.

    1. Want to see you psychiatrist? You'll only be able to see them 2 or 3 times a year because they're booked out 4-6 months between appointments. Each psychiatrist has about a thousand patients.

    2. Want to see a specialist? Good luck. I told my primary doctor that I wanted to see a dermatologist about a couple skin conditions. He insisted I didn't need to and that he was good enough to handle it himself. Another time, I went in because my knee was hurting, which I had surgery on a few year prior. My primary said it was just because I'm overweight and just need to exercise more. I said I really would like to make sure it's not something more serious like so he wrote me a referral to get an x-ray. I scheduled it, went in to get it and found out I was going to have to pay $500. I left, then called to see why I was being charged so much. They said it was because he coded it a certain way and if he coded it differently, it would have only cost me $50.

    3. I went to see a my primary doctor (different one than before) because I found a lump I was concerned about. He agreed it was very concerning and was going to write me an urgent referral so I could get an ultrasound. When I called to schedule it, the earliest appointment was over 2 weeks away. Call me crazy, but that doesn't seem like a very appropriate timeline.

    4. Kaiser's online portal and general software system is awful. When I have a video appointment, they don't have a way to join from the online portal. I have to wait for them to send me a link to join. That doesn't sound too bad, right? Well, they have either sent me the link only via text message or not at all. So I have to copy the link over to my computer to do the appointment. Still not the worst? Well, when they have sent me the link, I get it 5-10 minutes AFTER my scheduled appointment time.

    5. The pharmacy - what a disaster. When nothing goes wrong, it's fine. Unfortunately, I've had multiple terrible experiences with the pharmacy. One time, they said I couldn't fill one of my prescriptions because it was too soon, even though their system texted me saying it was time to fill. I told them I always pick up my prescriptions together so they should either both be available to fill or neither should be. They looked through their records and said I hadn't filled one of them for over 6 months, which I knew wasn't correct since I take these meds every day and get a 90 day supply every time. Plus, these meds require my doctor to write a new prescription every time I have them filled, which they shouldn't do if I was requesting a refill too soon. I ended up picking up the meds that were ready and having to come back a few days later to get the other.

    6. My employer-sponsored coverage started at the beginning of the year. I hadn't received my Kaiser membership cards yet so I called Kaiser. I spent over an hour talking to 2 people from Kaiser, which ultimately ended with them saying, "you'll need to work with your company's HR because we don't see you in the system."

    The next day, I asked my company's HR if there was an issue. They said it looked like everything was correct on their end and even sent me a screenshot of my info in Kaiser's system. I was now able to login to Kaiser's portal, but could only access Northern California, where I used to live multiple years ago. I had been a member of Kaiser Southern California for a couple years since then so I was very confused by what was going on.

    I called Kaiser back, spoke with a total of 4 people over a couple hours. The call ended with them telling me, "we changed something on your account so you should be able to access it now." I confirmed I was still not able to access Southern California and they said, "give it 24 hours and it should be fixed." The next day, it seemed to have been fixed so I went ahead and requested refills on my prescriptions. Later that day, I get a text saying one of my prescriptions is out of stock. Fine, I'll just go pick up the other prescriptions that are marked as ready.

    I go in to pick them up. The price is way higher than usual so I ask why. The pharmacist looked and said, "weird, for some reason it didn't go through the insurance. Do you want me to do that?" Obviously, I said yes. He then takes a while to try to run it through insurance with his manager, comes back and says my insurance only covers a 30 day supply so I'll have to pay out of pocket. I said, "I've been getting 90 day supply for years and it's always gone through." He looks and sees that's true so he talks to his manager for a while, comes back to tell me there must have been a change in the policy in the new year. I said, "fine, I need the prescription so I'll just pay out of pocket."

    10 mins goes by so I ask what's going on. He replies, "Oh, we need to re-process it without the insurance." More time goes by. I see his manager talking to someone else about it. He comes back to tell me that they actually can't give me the 90 day supply at all and will need to completely start over to only give me 30. Needless to say, I will not be staying with Kaiser any longer. I wouldn't recommend them to my worst enemy.

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    Staff

    Reviewed Dec. 29, 2022

    Saw my Dr one time for a very serious condition. Was on lots of medicine. Was not listened to. Was not checked up on. It is a medical factory line. If you are slightly diff from the normal patient and need individualized care you will not receive it here. This is an insurance company out to only make money. Please I beg you do not support them. Thank you for reading.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed Dec. 11, 2022

    Two years ago I had major joint pain. My doctor took X-rays and told me “there’s nothing wrong, it is psychological.” (No psych referral though.) Then, a year and a half later…. I had a physical with my new Primary Care Provider (PCP) in May. He made a comment that I’d “be a diabetic in 10 years.” I didn’t give it thought, until July, when I sent him an email in the KP App. No reply. Every week, for four weeks, I emailed with no reply. Again, I changed doctors. The new doctor had a “first available” in November, three months away. I waited. My KP app showed my appointment, until a week before, when it disappeared. I email a note, asking if it was still on. No reply. Two notes later, and two days before my assignment, I got a phone call. “Unfortunately, we have to cancel that appointment. His next first available is February.” Glad I emailed.

    At this point I settled for any doctor that could see me, and got in to meet a very nice resident that spent time with me and even looked at my joints. The referral I was given for my joints got me to a person that could identify swelling and painful areas just by comparing sides. One wrist has fewer wrinkles, since it’s inflamed. Same with my elbows. So, I could have gone six months waiting for an appointment with my PCP, in hopes it would not be canceled again. Things that could have been treated as soon as discussed were discounted and treatment was seriously delayed. I’m the expert on my body and know when it’s not working right. The doctor is the expert on the human body. But, with Kaiser, it seems that people get only urgent treatment anymore. We are told to wait six months for an appointment, but pay our monthly premiums on time. It’s not right.

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    Customer ServiceStaff

    Reviewed Dec. 8, 2022

    From what I have been made aware of and it was backed up by the pulmonary doctor my problem started on June 15 2021. I was not aware that I had fluid in my lung then but it states that in the info on their website. I was never treated for that or informed of it either. I was treated for a POSSIBLE blood clot but they said they thought it was a blood clot but not for sure. They put me on blood thinners and hospitalized me for 3 days.

    I talked to the pulmonary doctor and she agreed with me. She said she did not think it was a blood clot I had back then and took me off the blood thinner because of the kind of work I do. Because an injury could cause me to bleed out faster. She figure it was the lesser of two evils because the downside of that is that in putting me on a blood thinner and taking me off them I am now more likely to a blood clot than if I had not been put on them. I was not aware of this until I started checking the info on my doctor visits starting with June 2021 when I was hospitalized for a POSSIBLE blood clot.

    Anyways now onto the rest. I had multiple visits after the being hospitalized as follow up appointments. I went in on Sept 21, 2021 to the urgent care with swelling in my legs. They treated me but it never really went completely away. Then on Dec 8 2021 I went to the urgent care who sent me to the er because I was suffering from shortness of breath. All they did was prescribe me more meds & sent me home. They never did a chest x-ray. It kept getting worse to the point that on April 12, 2022 I again went to the urgent care complaining of shortness of breath. They prescribed me more meds and sent me home. Again they never did a chest x-ray. And again it got worse not better and I went back to the urgent care on April 26th with the same complaints. They prescribed me more meds and sent me home. Again they never did a chest x-ray.

    We waited thinking that maybe it was kidney related and since I had an appointment with my kidney doctor on May 16th. Nothing came of that and it kept getting worse. It got so bad that I could not walk half a block without gasping for air. I had to be pushed in a wheelchair by my girlfriend from the parking lot when I had to go in for my MRI because I could not walk that far without having an attack. After that we waited hoping that my phone appointment with Dr ** would be able to get some results because the urgent care visits were a waste of time since all they would do is prescribe more meds and send me home without doing a chest x-ray.

    I missed the phone appointment because I could not answer the phone in time. I waited 30 minutes for him to call again and he did not call again so I called to try to let his office know what happened and the person I talked to could not get hold of anyone in his office so I left a message telling what happened. I got another appointment with Dr ** for June 10th, 2021. Meanwhile my girlfriend and me as well as her son had called his office trying to get help at least twice so he aware there was a problem. On June 10th, 2022 I got a call early in the morning cancelling my phone appointment with Dr ** and they rescheduled it for the end of July.

    On June 11, 2022 I went back to the urgent care with the same complaints as well as complaining my shoulder hurt when I fell down from having a problem breathing. I basically passed out when that happened. They finally did a chest xray but did not contact me with the results. On June 15th 2022 I came home from work and felt really bad, so bad it scared my girlfriend who told me, "You are going to the urgent care again" so I went back to the urgent care and the doctor there took one look at the xray from my last visit and sent me to the er where they hospitalized me. One lung was almost completely full of fluid. Obviously it had been building up for the last year and until the one doctor saw the xrays they did nothing to treat me for it, just gave me more pills & sent me home each time.

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    Staff

    Reviewed Dec. 7, 2022

    I am so frustrated with Kaiser in Northern California and the service that I am receiving. They are horrible, it takes months to get in to see someone, to get a specialist is almost impossible and the doctors just don't seem to care if you are hurt or in pain.

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    Customer ServiceCoverage

    Reviewed Dec. 4, 2022

    Kaiser Folsom is the worst insurance to have. Doctors prescribe meds without even examining you. When you have a urgent matter they don’t return your calls. I have been sick for 3 weeks now and they keep prescribing meds and have not seen me once. They need to be investigated.

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    Staff

    Reviewed Nov. 3, 2022

    Kaiser doctors do not give adequate consideration to the symptoms you report. Instead, the symptoms are brushed off based on statistics and age believing that everything is ruled out and advising to take better care of yourself. When you already take care of your health and body and practice a healthy lifestyle but still have certain symptoms that are dismissed, something is wrong with the system. Kaiser is not for people with real concerns, nor is it a good health insurance provider. The doctors having the power to decide whether referral is warranted for a specialist or specific test is detrimental to one's health.

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    Customer ServiceSales & MarketingStaff

    Reviewed Oct. 19, 2022

    Kaiser is good when it is good but overall bad in an emergency unless I suppose you get to Emergency in an ambulance. After experiencing acute and severe debilitating back pain (on my knees on the floor and unable to get to the backroom) and receiving the lack of care I felt necessary left me with serious doubt about my future care within the Kaiser health care system. I could not get an appt to see a back doctor (in person appt is and was 2 months out). I managed to get to Urgent care and got medicine but medication did not help in the least.

    Managed to snag a same day appt with some unknown doctor who prescribed stronger meds to address my back pain. Still did not help. Was finally referred to Physical Medicine where a doctor there prescribed medication strong enough to alleviate the inflammation. Managed to see my PCP (only because there was a patient cancellation, otherwise wouldn't have been able to see him) who said there was no diagnosis (when in reality there was and I didn't even know as nobody bothered to explain to me I had lumbar radiculopathy aka sciatica). Lack of and poor communication.

    I am really fed up with doctors asking me questions when I'm a patient and they should be aiding and guiding me. Neighbors and friends said I need a cane to assist me walking and to secure a Handicap Parking Placard. I had to go inquire over and over and over to get the placard to assist me as I continued to limp along due to two herniated disks. I'm looking to switch to PPO insurance. Kaiser is FOR PROFIT regardless what the ads that say otherwise. Until Kaiser hires sufficient doctors to address the volume of patients, it will continue to dole out less than acceptable standards in dealing with patients with acute onset immediate crisis care needs.

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    Staff

    Reviewed Oct. 18, 2022

    Kaiser's doctors and health practitioners give me the impression of having 0 interest in patients and just try to do as little as possible interaction with patients and treating patients. Kaiser pays the most and hence attracts these types who are motivated only by money. Those who must interact with patients are understaffed so they have a line of patients at any given time and do not have time to provide human interaction. I have had to resort to holistic herbal treatments and energy healing since switching to Kaiser. I avoid going to the doctor because I leave feeling so awful. Luckily I am from a country where health care is also exclusive to the wealthy and useless for everyone else, so we know how to treat most diseases with herbal medicines. I am horrified to imagine Americans without this background trusting their Kaiser doctors who I can tell do not at all, or do not have time to care.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 13, 2022

    I am trying to get a refill for some medication. The Kaiser pharmacy said it can take up to 5 business days get the refill. That's up to a week if it's not placed on a Monday. Crazy right? I tried to contact my doctor by email. The response I got was from her assistant telling me it can take up to 5 business days for her to respond to emails. Sigh. No help there. There is no way to call your Dr. office directly. So basically I'm screwed. I may go to urgent care as a last resort. What a waste of time resources.

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    Customer ServiceCoverage

    Reviewed Oct. 8, 2022

    I am having severe back pain since last February, God knows how many months it took Kaiser to schedule me to see Pain Management and physical therapy. Finally, they agreed base on my condition to do pain block and I have been waiting two weeks for them to call and schedule me for procedure. They called me this morning at 7:15 am and I missed the call and once I called back they told me I have to wait till next week. I am so pissed off. If you file complaints it takes them 3 months to respond and they send you bunch of papers which takes you hours to read… Horrible service. I can’t wait to reach 65 and get different health insurance and I am encouraging my husband and my sister both to leave Kaiser… they are worthless.

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    Customer ServiceInstallation & SetupCoveragePricePunctuality & SpeedStaffProcess

    Reviewed Oct. 7, 2022

    As a self-employed individual I have had insurance through Premera in 2020, Regence in 2021 and Kaiser in 2022. Kaiser was by far, the biggest mistake. Aside from catastrophic coverage which thankfully we did not need, I would accept Kaiser coverage for my family if it was given for free. I chose Kaiser because monthly premiums was slightly less expensive and I believed the combination of insurance and providers would turn out to be superior. I was wrong.

    Kaiser's approach seems to be downgrade, delay and deny. Initial contacts may go through a web or phone consultation that is about as useful as self research using online sites like WebMD. Getting even simple prescriptions like a rash cream would be denied. My explanations that I have already tried self-researched and over-the-counter remedies is ignored. You must go through the Kaiser process at every step, even when you are happy to pay directly. The next step is typically the office visit with a general practitioner or PA. There is no luck going to straight to a specialist even when you are experienced and knowledgeable with a condition. You will wait to get these appointments unless Kaiser deems urgency.

    The providers are fine, but the care is still general and if you will pay the deductible, suffer the condition and be delayed. This will often be another wasted appointment. You will not be able to bypass the system. Your experience, research and knowledge is meaningless as is the inconvenience, expense, time and suffering. I never made it to the specialist within the process. My attempts were denied or delayed. My child was unable to sleep properly for months or to use drugs recommended for days, not continual use. When I asked to go to specialists outside of Kaiser and pay completely out-of-pocket, it was denied. They put barriers to even working with outside providers.

    I literally had to go to an outside provider, walk in to their office, explain and beg them to ignore my insurance, to provide service and charge me directly. Calling was not sufficient. When my child was eventually seen by a specialist outside Kaiser, they initially recommended a long regiment of antibiotics, since we had tried a standard regiment the year before. Kaiser denied all but over-the-counter and home remedies we were trying for years. They didn't care. Stay in the system. Outside information is not considered.

    The outside specialist also recommended a further diagnostic should this not work. We did not want to wait or go through the roadblocks that Kaiser would undoubtedly put up and had the specialist perform the diagnostic immediately. As we expected, there was reason for the chronic problem and an easy solution. It took us at least six months, much effort, costs, sleepless nights and unneeded suffering of our child trying to Kaiser. A horrible value is an understatement. Thankfully we never needed urgent medical emergency coverage and I suppose that provides some value. Beyond that, I would accept Kaiser's coverage if it was offered free of charge. Do yourself a favor, pay more in premiums elsewhere.

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    Customer ServiceStaff

    Reviewed Sept. 30, 2022

    I called for an appointment four months ago to reduce a medication I felt was causing anxiety attacks. The nurse on the phone insisted I go to ER to ensure I wasn't having a heart attack. I did and thankfully was not, but was told by the ER doc (outside of KP) to see a cardiologist without delay. KP insisted I see my regular doc (I just switched to KP two years ago) in order to get a referral to see a cardiologist despite my having been seen by an ER doc with all tests done at their insistence. First available appointment was a month away so I made the appointment. The morning of the appointment I get to the KP facility and am told my GP is out Sick. "Can I see another Doctor for a referral and just have the blood drawn for tests?" Nope. I make another appointment- first available is three weeks out. I am on the way to the appointment and get a phone call cancelling because my GP is *still* out Sick. No one else available? Nope.

    I make another appointment with another KP doctor at another facility only a week out thanks to a cancelation- I get a phone call the morning of telling me the doctor won't do the paperwork I need because she isn't my GP. I MAKE ANOTHER APPOINTMENT (Each phone call to make an appointment takes minimum 40 minutes on Hold BTW). I manage to get a phone appointment another week later with yet another GP. This one says she's happy to get all the paperwork done - And does it over the phone sight unseen. (Bless her).

    I finally get a phone call to schedule the Stress test I am told I need to do before the cardiologist can see me. First available is three weeks out. The morning of the test I get a phone call telling me they have to cancel, BECAUSE THE DOCTOR HAS CALLED IN SICK. I manage to reschedule in the phone call - FOR MORE THAN THREE WEEKS OUT. That's where it stands now. To save people the math, I am now more than four months since calling to change medication that the KP Nurse insisted could be a heart attack and sent me to ER - where the doctor said see a cardiologist without delay. Assuming the next appointment isn't cancelled (mind, I am 0 for 4 in actually seeing a doctor who will do anything), it will be five months before I even get the Stress test to then see a cardiologist sometime after that. KP - Health Insurance in Premium Only.

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    Customer ServiceStaff

    Reviewed Sept. 28, 2022

    I have a special needs child who will be 18 soon: with an intellectual disability/autism. I needed a VERY routine form filled in as I need to gain limited conservatorship (medical powers). It has a question where it asks if my child is capable of making informed medical decisions. Mind you this doctor chose to write a letter in lieu of the form. I explained to her that the form is a document that must be signed by her medical doctor and that the letter will not hold up. I know no one who has had this issue so I do know this is doctor specific. She had the audacity to call and say she won’t sign it because “I could sue her.” I asked for my child to be referred to someone who would. Many psychs in this department called me to say “Why won’t she do it? She is her doctor.”

    I brought in all her latest assessments that prove she is unable to make her own medical decisions (This she knows because she did write the letter. She is not against it) but she did not sign the legal form. This form is 100% necessary and there is no “not filling it in.” Because of this my child’s medical care beyond 18 is up in the air. If you have a special needs child run far far away. No one waiting Kaiser has any idea on how to care for autistic children and now even adult!

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    Customer ServiceInstallation & SetupPricePunctuality & Speed

    Reviewed Sept. 21, 2022

    I have been with Kaiser for years. I have always had a good experience until this year and it's more than 1 bad experience. In January my son had a Cat Scan for a medical issue. A cysts was found on an Organ. The Kaiser MD is the responsible Dr to report this to us and did not. Then again in May he had a Cat Scan again, and again the cysts was reported in the paperwork to the kaiser Dr. and again the same Dr failed to tell us. If I had not started reading all the hospital reports and lab work for other appointments I would not have known about it, and it does need to be seen to. The same Dr had 2 opportunities to look at his medical report correctly and didn't. This is just neglect. I filed a grievance with Kaiser in mid July and was told I would get a letter. I got no letter. I called back, they said they will resend. I got no letter. I sent an email to notify them that I would like to talk to someone about this, that no one has reached out to me.

    The person that received that email just assigned a new case number and filed another grievance against that grievance. So I called and escalated to a manager, they sent an email to the case manager and the case manager's manager and told me they will call or reach out to me. It’s been over a week, no one has bothered to reach out.

    In another incident, I just tried to get an appointment for my child but they are booked up at all facilities today, no appointments when I call at 7am. He needs to be seen today so I pay to go private outside of Kaiser. My son needed a prescription filled. I took the prescription to Kaiser and they refused to fill it because one of their Dr's didn't write it! But they take my monthly premium for prescription services! So now I have to pay 100% of the cost of the medicine- it makes no sense. They also canceled 2 appointments back to back the morning of the appointment with different Dr's and my son ended up in the emergency room. They really have gone down as a service provider.

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    Customer Service